摘要
目的总结各种原因所致周围性面瘫行面神经减压术的经验和疗效。方法回顾分析37例周围性面瘫的临床资料、面神经减压的手术方式及疗效。结果 37例中,包括颞骨骨折、中耳乳突手术后、中耳乳突炎、面神经瘤、听神经瘤及中耳癌等不同原因。术后随访3月至4年,其中25例面神经功能恢复至House-BrackmannⅠ、Ⅱ级(68%)。面瘫病程<2月者手术减压效果明显优于>2月者。结论面神经减压术是治疗周围性面瘫的有效手段,对保守治疗恢复不满意、有手术指征的患者,应尽早行面神经减压术。
Objective To report efficacy of facial nerve decompression in treating peripheral facial paralysis of differ-ent causes. Methods The clinical data of 37 cases of peripheral facial paralysis, and surgical approaches as well as efficacy of facial nerve decompression were retrospectively analyzed. Results Causes of facial paralyhsis included temporal bone fracture, post-operative infection, middle ear cholesteatoma, facial neuroma, acoustic neuroma and middle ear carcinoma, etc. Among the 37 cases, 25 demonstrated satisfactory facial nerve recovery of House-Brackmann grade I-II during the fol-low-up period of three months to four years. The facial nerve recovery after decompression in patients with facial paralysis duration of less than two months was obviously better than in patients with facial paralysis duration of greater than two months. Conclusions Facial nerve decompression is an effective method for peripheral facial paralysis. Early decompression in patients with dissatisfied recovery during observation is recommended.
出处
《中华耳科学杂志》
CSCD
北大核心
2014年第3期415-418,共4页
Chinese Journal of Otology
关键词
周围性面瘫
面神经减压
耳外科手术
Peripheral facial nerve paralysis
Facial nerve decompression
Ear microsurgery
